| NPI | 1871021287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ10488) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SI2955) | |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2022-08-29 |